BH Case Manager II
Company: The Judge Group
Location: Arvada
Posted on: May 4, 2022
Job Description:
Location: Arvada, CO Description: BH Case Manager II - REMOTE
(Temporary) Denver, CO Market(Temporarily outreach is telephonic
only due to the pandemic.)Job Description:The BH Case Mgr (CM) job
progression is primarily member facing and involves complete
clinical assessment. -Responsible for performing telephonic case
management within the scope of licensure for members with
behavioral health and substance abuse or substance abuse disorder
needs. -Subject matter expert in targeted clinical areas of
expertise such as Eating Disorders (ED), Maternity, Alcohol / Drug,
Autism Spectrum Disorders (ASD), etc.Additional Job Description
DetailsBehavioral Health Case Manager II is responsible for
performing case management telephonically and/or by home visits
within the scope of licensure for members with behavioral health,
physical health and substance abuse or substance abuse disorder
needs. -Top 3 must haves: -
- -Experience working with high acuity clients; exposure and
knowledge about Severe and Persistent Mental Illness (SPMI)
- -Experience working and communicating with interdisciplinary
teams and external/community partners
- -Highly organized team contributor with ability to manage time
and problem solve -Primary duties may include, but are not limited
to:Responds to more complex cases and account specific requests.
-Uses appropriate screening criteria, knowledge and clinical
judgment to assess member needs. Conducts assessments to identify
individual needs and develops specific care plan to address
objectives and goals as identified during assessment.Monitors and
evaluates effectiveness of care plan and modifies plan as needed.
-Supports member access to appropriate quality and cost effective
care. -Coordinates with internal and external resources to meet
identified needs of the members and collaborates with providers.
-Serves as a resource to other BH Case Mgrs. -Participates in
cross-functional teams, projects and initiatives.
-Education:Requires MS or MA in social work, counseling, nursing or
a related behavioral health field.Licensing:Current active
unrestricted license as an RN, LCSW, LMHC, LPC (as allowed by
applicable state laws), LMFT, or Clinical Psychologist to practice
as a health professional within the scope of licensure in
applicable states or territory of the United States required.
-Experience:
- Previous experience in case management and telephonic coaching
with members with a broad range of complex psychiatric/substance
abuse and/or medical disorders. -
- Managed care experience required. For Government business only,
LAPC, LAMFT, LMSW (as allowed by applicable state laws) is also
acceptable in addition to other licensure referenced above; and any
other state or federal requirements that may apply. -
- Experience in health coaching and motivational interviewing
techniques preferred.
- 3- 4 years of clinical experience in social work counseling
with broad range of experience with complex psychiatric, complex
medical and substance abuse or substance abuse disorder treatment.
or any combination of education and experience which would provide
an equivalent background. -
- Previous experience in case management and telephonic and/or in
person coaching with members with a broad range of complex
psychiatric/substance abuse and/or medical disorders. - -
- Experience working in a field based position. -Primary duties
may include but are not limited to:
- Completes face-to-face visits with the member in the home,
hospital, and other community settings, such as doctor's offices,
treatment centers, etc. (Temporarily outreach is telephonic only
due to the pandemic.)
- Responds to more complex cases and account specific requests. -
-
- Uses appropriate screening criteria knowledge and clinical
judgment to assess member needs. -
- Conducts assessments to identify individual needs and develops
specific care plan to address objectives and goals as identified
during assessment. -
- Monitors and evaluates effectiveness of care plan and modifies
plan as needed. -
- Supports member access to appropriate quality and cost
effective care. -
- Coordinates with internal and external resources to meet
identified needs of the members and collaborates with providers.
-
- Identifies members at high risk for complications and
coordinates care in conjunction with the member and the health care
team. -
- Identifies members that would benefit from an alternative level
of care or other waiver programs. -
- Assists in problem-solving with providers and the health care
team. -
- Serves as a resource to other Case Managers. -
- Participates in cross-functional teams projects and
initiatives.Anticipated work schedule:Monday through Friday, 8:00
am - 5:00 pmCandidates must be in the Denver area Contact: This job
and many more are available through The Judge Group. Find us on the
web at
Keywords: The Judge Group, Arvada , BH Case Manager II, Executive , Arvada, Colorado
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